Housing Move Out or Room Change

Housing Move Out Form

Students must submit a move out request between the 1st & 15th of the month or they will be subject to the following month's rent. If you change your mind and decide to stay in housing you will be billed a $50 service charge. Refunds will be processed within 90 days of move out.
Student Name:*

First NameMiddle NameLast Name
ETA ID:*
Email*
example@example.com
Today's Date:*

MonthDayYear
Apartment Building and Number:*
Reason for Moving*

GraduatingOther
Move Out Date*

MonthDayYear
Refund Type*

CheckWire Transfer US Bank